Publisher's Synopsis
Excerpt from The Alienist and Neurologist, 1900, Vol. 21: A Journal of Scientific, Clinical and Forensic Neurology and Psychology, Psychiatry and Neuriatry
Take an example from the province of brain diseases. A large cerebral hemorrhage from the marginal artery of the lenticular nucleus or an embolism of the Sylvian artery causes, besides a hemiplegia, at the time of the acute illness a number of grave attendant symptoms, which are to be regarded as collateral effects of the local brain injury. As a result of the direct destruction the hemiplegia continues as the residuary state, but the collateral effects disappear. But exactly the same sort of a hemiplegia may occur, when a tumor of slow growth or a chronic encephalomalacia destroys the same locality, usually in the way that a monoplegia comes on gradually, e. G., of the leg, then a monoplegia of the arm and finally of the facio-lingual region, so that a hemiplegia at last exists. Corresponding to this chronic course severe general symptoms may be completely lacking. But the location of the brain destruc tion is the same in both instances, and hence the right is proven to compare the residuary focus with the chronic focus. We have equally the right to compare the residuary changes of the contents with respect to the localization of the process to the changes of the contents in chronic psychoses.
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